Formula Adjustment (Nutramigen or Nutramigen with Enflora LGG ) ® Why do I need to adjust the calories in my baby’s formula? ® ® Nutramigen or Nutramigen with Enflora™ ® LGG are made for babies who have allergies or need a formula that is easy for them to digest. Nutramigen® powder with Enflora™ LGG® contains a probiotic to keep the stomach and intestines healthy and working normally. These formulas are usually prepared to 20 calories per ounce, but some babies may need a different calorie level to gain the right amount of weight. How do I mix the formula? 1. Wash your hands and work surfaces with soap and water. Wash the top of the formula can before opening to prevent germs from getting into the baby’s feeding. Use clean measuring utensils and containers. 2. Let the cold tap water run for 1-2 minutes before mixing with the formula to flush the water sitting in the pipes. Well water may contain bacteria and should not be used to make infant formula. 3. Follow the instructions in the next column for either liquid concentrate or powdered formula. ® ™ ® Using Nutramigen® liquid concentrate 1. Check the formula label. It should read “concentrate,” not “ready-to-use.” Shake the can before opening. 2. Check the recipe chart for liquid concentrate on page 3. Pour the formula concentrate from the can into another container. 3. Measure the desired amount of water in a clear, liquid measuring cup. Set the container on a level surface, and check the level of the liquid at eye level. Add the water to the concentrate and mix well. Using Nutramigen with Enflora LGG powder ® ™ ® 1. Check the recipe chart for powdered formula on page 4. Using a clear, liquid measuring cup, measure the desired amount of water. Set the measuring cup on a flat surface, and check the level of the liquid at eye level. 2. Use only cool water to make the formula. Using warm or hot water can limit the benefits from the probiotics. 3. Use only the scoop provided in the formula can or measuring utensils intended for dry ingredients. Pack and level the formula powder. Add the powder on top of the water. 4. Mix or shake well until all lumps are gone. Formula adj.: Nutramigen, Nutramigen with Enflora LGG Page 1 of 4 How long can I keep the formula? Questions? Store prepared formula in a covered container in the refrigerator. If you have any questions, please call Nutrition Services at your hospital during daytime hours. Throw away any unused formula prepared from concentrate after 48 hours. Throw away any unused formula prepared from powder after 24 hours. Children’s - Minneapolis Children’s - St. Paul 612-813-6865 651-220-5678 Throw away any unused formula powder one month after opening the can. Preparing to feed your baby 1. Shake the formula well. 2. Warm the formula in one of these ways: • Run warm tap water over the bottle. • Set the bottle in a pan of warm water • Nutramigen® with Enflora™ LGG® should not be warmed beyond room temperature (75°F). Higher formula temperatures can limit the benefits from the probiotics. • Do not use a microwave because it heats unevenly, causing “hot spots” that could burn the baby’s mouth. 3. After warming, shake the bottle again. Always test the temperature of the formula before feeding. 4. Throw away any formula left in the baby’s bottle after a feeding. Formula adj.: Nutramigen, Nutramigen with Enflora LGG Page 2 of 4 Nutramigen® Liquid concentrate recipe chart Calories per ounce Concentrate Water Final volume 22 13 ounces (1 can) 11 ounces 24 ounces 24 13 ounces (1 can) 9 ounces 22 ounces 26 13 ounces (1 can) 7 ounces 20 ounces 27 13 ounces (1 can) 6 ounces (¾ cup) 19 ounces _____ 13 ounces (1 can) Note: To make 20 calorie-per-ounce formula, follow the directions on the can. Formula adj.: Nutramigen, Nutramigen with Enflora LGG Page 3 of 4 Nutramigen with Enflora LGG Powdered formula recipe chart ® Calories per ounce 22 24 26 27 Water ® ™ Formula powder (packed, level) Approximate final volume 2 ½ ounces 5 ½ ounces 10 ounces (1¼ cups) 15 ounces 20 ounces (2½ cups) 2 tablespoons 3 scoops ½ cup 8 scoops 1 cup 3 ounces 6 ounces 11 ounces 17 ounces 22 ounces 6 ounces (¾ cup) 8 ounces 9 ounces 13 ounces 18 ounces (2¼ cups) ⅓ cup 5 scoops ½ cup 8 scoops 1 cup 7 ounces 9 ounces 10 ounces 15 ounces 20 ounces 3 ounces 8 ounces (1 cup) 11 ounces 12 ounces (1½ cups) 20 ounces (2½ cups) 2 scoops ½ cup ⅓ cup + ⅓ cup 8 scoops 1 cup + ¼ cup 3½ ounces 9 ounces 12½ ounces 14 ounces 23 ounces 9 ounces 10 ounces (1¼ cup) 13 ounces 15½ ounces ¼ cup + ⅓ cup 7 scoops 9 scoops 1 cup 10½ ounces 11½ ounces 15 ounces 18 ounces _____ 1 Tablespoon = 3 teaspoons Note: To make 20 calorie-per-ounce formula, follow the directions on the can. Children’s Hospitals and Clinics of Minnesota Patient/Family Education 2525 Chicago Avenue South Minneapolis, MN 55404 05/2013 Copyright Formula adj.: Nutramigen, Nutramigen with Enflora LGG Page 4 of 4
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